Modern Implants: Surgical and Injectable

Theda C. Kontis, MD, FACS

Adding volume to the face or augmenting the facial skeletal structure are not new concepts in our cosmetic and reconstructive repertoire. We do, however, rely on technological developments to assist us in accomplishing these goals. While some implants and injectables have been fraught with issues and complications, others have proved their value over time.

In this issue of Facial Plastic Surgery, we will explore the uses of solid and injectable implants for facial volumization and structural support. The authors in this volume are experts and thought leaders in their field and I commend them for their thorough and thoughtful insights.

The midface traditionally has been overlooked by cosmetic surgeons. The understanding facial aging in terms of fat pad atrophy and bony remodeling combined with the development of synthetic implants and injectables has improved our surgical results. We can now fill the midface with implants, fat, and fillers. Our authors will discuss these options and review the potential complications associated with such procedures.

Nasal augmentation with implants and injectables has always been a controversial subject. A wide variety of synthetic materials have been placed in the nose, with reports of success, complications, and sometimes devastating failure. In this issue, we will review the broad range of nasal implants that have been used as well as discuss their long-term results and potential complications.

Is there a paradigm shift for augmentation of the chin and prejowl regions? Traditionally, we have performed genioplasty or mentoplasty with synthetic implants. We can now augment these areas with fat and fillers. Our authors will discuss these options and outline the decision-making process for optimizing results.

Finally, we will step into the future of facial augmentation by analyzing the current and future concepts of tissue engineering. Possibly, the use of one's own engineered materials may be the best filler or implant available. We will explore the exciting new developments in this field.

It has been an honor to serve as the Guest Editor for this edition of Facial Plastic Surgery, and I know our readers will enjoy the comprehensive review of surgical and injectable facial volumization that our experts have provided.